KONRAD DEISS

LAGRANGE, GA
NPI1437646064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: GA  1219)
Enumeration Date2018-04-19
Last Update Date2018-04-19
Business Address
KONRAD DEISS
229 S DAVIS RD STE 900
LAGRANGE, GA 30241-2609
Phone number: 470-686-2225
Mailing Address
KONRAD DEISS
229 S DAVIS RD STE 900
LAGRANGE, GA 30241-2609
Phone number: 470-686-2225
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